you make a difference award - Wccusd

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Nov 20, 2015 - A job description c. ... you need assistance with the form please call Jeanine Bishop, Parent Liaison at
The Community Advisory Committee for Special Education West Contra Costa Unified School District

YOU MAKE A DIFFERENCE AWARD NOMINATION FORM The Community Advisory Committee for Special Education is requesting nominations for the annual “You Make a Difference” awards. Parents, students, community members, educators, and school staff members from regular or special education, who are involved with children with special needs, are eligible to receive an award. Please use the following guidelines for your nominee: 1.

Nominees must demonstrate outstanding contributions above and beyond: a. The role of a parent b. A job description c. General expectations

2.

High priority consideration will be given but not limited to activities in the following areas: a. Mainstreaming and integration b. Career development c. Fostering parental involvement d. Curriculum enhancement e. Job placement

Please complete the attached form. Include specific examples of those activities you feel best illustrate your nominee’s outstanding contributions to the lives of special education students. If you need assistance with the form please call Jeanine Bishop, Parent Liaison at 510.307.4669. Due:

Friday November 20, 2015

Return To:

Steve Collins, SELPA Director Pupil Services Center 2465 Dolan Way San Pablo, CA 94806 (VIA US Postal Service or school mail)

Notification:

You will be notified of the decision of the “You Make a Difference” Award Committee; and if your nominee is selected you will be asked to present the award.

Award Ceremony: Ceremony & reception will be held: Date: Time: Where:

Thursday, March 10, 2016 7:00 p.m. – 9:00 p.m. DeJean Middle School 3400 MacDonald Ave., Richmond

Approved: _________________________________ Steve Collins, SELPA Director Please see attached for nomination form

COMMUNITY ADVISORY COMMITTEE FOR SPECIAL EDUCATION (CAC) WEST CONTRA COSTA UNIFIED SCHOOL DISTRICT

YOU MAKE A DIFFERENCE AWARD NOMINATION FORM

Nominate: ___________________________________________________ Name

________________________________________________________________ Street Address

______________________________________ City,

Zip Code

______________________________________ Telephone Number(s)

____________________________ Position

________________________ School Affiliation

_________________

School Telephone #

Due: November 20, 2015

Nominators: _________________________

_______________________________

Name

School Affiliation

__________________________________________________________ Title (Parent, Community, School Staff, Student)

__________________________________________________________ Address

__________________________ Telephone #

City

Zip code

Nomination Form Please state specific examples of his/her outstanding contributions to the lives of special education students in the West Contra Costa Unified School District. Please complete nomination form. Specify how this nominee’s contributions were above and beyond the individual’s general job description. Please write clearly in order to ensure that the committee can read the nomination, (attach additional pages if necessary).

______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________